99457
HCPCS Procedure Code
HCPCS code 99457 is the #1,674 most-billed Medicaid procedure code, with $16.4M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $6.05. Costs vary widely — the 90th percentile is $28.84 per claim, 4.8× the median.
Total Paid
$16.4M
0.00% of all spending
Total Claims
1.4M
Providers
2K
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 99457? Based on 2K providers billing this code nationally.
Median
$6.05
Average
$10.74
Std Dev
$13.34
Max
$147.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.14 and $13.82 per claim for this code.
90% bill between $0.75 and $28.84.
Top 1% bill above $49.27.
About This Procedure
HCPCS code 99457 was billed by 2K providers across 1.4M claims, totaling $16.4M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.05
Providers Billing
2K
National Spending
$16.4M
Avg/Median Ratio
1.78×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99457
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962601393 | $1.8M |
| 2 | 1811544174 | $527K |
| 3 | 1902957970 | $478K |
| 4 | 1902271661 | $455K |
| 5 | 1518417179 | $423K |
| 6 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $261K |
| 7 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $257K |
| 8 | 1699704809 | $243K |
| 9 | 1821454505 | $229K |
| 10 | 1104096015 | $223K |
| 11 | 1730137480 | $192K |
| 12 | 1750613329 | $181K |
| 13 | 1285223552 | $179K |
| 14 | 1508086109 | $164K |
| 15 | 1275581894 | $162K |
| 16 | 1730441791 | $144K |
| 17 | 1609188796 | $143K |
| 18 | 1760594451 | $141K |
| 19 | 1083241392 | $141K |
| 20 | 1477151660 | $136K |
Showing top 20 of 2K providers billing this code